HCCNY CQI Plan 2014 - Attachment A: Specifications

HCCNY CQI Plan 2014 - Attachment A: Specifications
Hypertension Measures
Measure
Measure
Source
Description
Numerator
Denominator
Exclusions
How to
Identify Info.
EMR =>
Vitals =>
Number of patients
Configure
ages 18 - 85 seen for
vitals =>
at least one primary
mapped to
care visit in the past
Percentage of
Repeat BP, if
year diagnosed with
Number of patients in
Exclude patients who populated; if
hypertensive
hypertension;
meet any of the
patients ages 18 the denominator
Repeat BP
diagnosis of
following critera:
Blood Pressure MU; NQF to 85 whose
whose most recent BP
not used,
hypertension is based
0018 blood pressure reading in the
• Pregnancy
Control
then last BP
on documentation on
measurement year was
• End-stage Renal
was under
entry in the
the patient's problem
control
(< <140/90 mmHg.
Disease
data table, as
list or as a diagnosis in
140/90 mmHg).
long as BP is
an assessment during
in the field
the first six months of
name (e.g.
the measurement
BP, BP
period or earlier.
sitting, BP
supine, etc.).
Undiagnosed
Hypertension
Number of
patients with at
least two
elevated BP
HCNNY;
readings in the
JNC-7
past year who
have not been
diagnosed with
hypertension.
Number of patients
Number of patients in ages 18 - 85 seen for
the denominator who at least two primary
have two elevated BP care visits in the past
readings (>=140 mmHg year who do not have
or >=90 mmHg) at two a diagnosis of
separate visits in the
hypertension either as
past year.
an assessment or on
their problem list.
Exclude patients who
meet any of the
following critera:
• Pregnancy
• End-stage Renal
Disease
Notes
Note: Does not include
patients who see
cardiologists exclusively
Note: HCNNY is not
identifying patients through
medication.
Note: Denominator universe
determined by assessment of
401.* or 402.* or 403.* or
404.* or 405.* OR any
problem list entry of: 401.*
or 402.*
See above.
Used with permission from HCNNY; for questions or more information, pleaase contact Meg Meador at [email protected]
Note: elevated readings do
not have to include the most
recent reading.
As of: 7/11/20149:50 AM

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